Tanner, Kelly

Tanner, Kelly is an individual health care provider with primary practice located at 9120 Springbrook Dr Nw , Coon Rapids MN 55433-5845. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Tanner, Kelly can be contacted via phone (952) 767-5900.

Contact Information

Primary practice address
9120 Springbrook Dr Nw Coon Rapids MN 55433-5845
Phone: (952) 767-5900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1104342187
LBN Legal business name Tanner, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2017
Last updated Apr 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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